| National Provider Identifier [NPI]: | 1467560383 |
| Last Name Of The Provider | KARACUSCHANSKY |
| First Name Of The Provider | MIGUEL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 200 E 33RD ST |
| Street Address 2 Of The Provider | SUITE # 640 |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212183322 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 21 |
| Number Of Services | 5366 |
| Number Of Medicare Beneficiaries | 2594 |
| Total Submitted Charge Amount | 273120 |
| Total Medicare Allowed Amount | 162774.4 |
| Total Medicare Payment Amount | 112954.9 |
| Total Medicare Standardized Payment Amount | 108616.02 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 95 |
| Number Of Medicare Beneficiaries With Drug Services | 91 |
| Total Drug Submitted ChargeAmount | 2140 |
| Total Drug Medicare AllowedAmount | 1410.4 |
| Total Drug Medicare PaymentAmount | 1382.25 |
| Total Drug Medicare Standardized Payment Amount | 1382.25 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 18 |
| Number Of Medical Services | 5271 |
| Number Of Medicare Beneficiaries With Medical Services | 2594 |
| Total Medical Submitted Charge Amount | 270980 |
| Total Medical Medicare Allowed Amount | 161364 |
| Total Medical Medicare Payment Amount | 111572.65 |
| Total Medical Medicare Standardized Payment Amount | 107233.77 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 556 |
| Number Of Beneficiaries Age 65 to 74 | 898 |
| Number Of Beneficiaries Age 75 to 84 | 749 |
| Number Of Beneficiaries Age Greater 84 | 391 |
| Number Of Female Beneficiaries | 1426 |
| Number Of Male Beneficiaries | 1168 |
| Number Of Non Hispanic White Beneficiaries | 1125 |
| Number Of Black or African American Beneficiaries | 1387 |
| Number Of AsianPacific Islander Beneficiaries | 32 |
| Number Of Hispanic Beneficiaries | 29 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 21 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1742 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 852 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 46 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 51 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 63 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 2.1974 |